International Market - Partner Application

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containing ingredients and
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Spectrum International Market Partner Application Form

Return to International Division

Fields marked with an * are required.
Title
*Last Name
*First Name
Middle Initial
Job Title
*Company Name
Postal Address
*Physical Address
City Code
*City
State or Province
*Country
*Telephone
*Fax
*Email
*What is your primary area of expertise?
*What type of customers do you serve?
*How long has your company been in business?
Do you know your Dun & Bradstreet Number?
Do you have an account in a US Bank?	Yes No
*How many employees work in the company?
*Out of the above, how many perform sales duty?
Describe the highest level of education of your salespeople
Does your company cover the entire national territory?	Yes No
*Give us an estimate of your company annual sales or sales range?
*Tell us the estimated chemical market size in your country
Tell us the estimated laboratory market size in your country
Are you currently selling chemicals?	Yes No
If yes to the above, do you have the necessary licenses to import chemicals into the country?	Yes No
Who is your freight forwarder in the U.S.A.
Do you own or have access to a hazardous chemicals warehouse?	Yes No
*What other authorized representations are handled in your company?